Individual provider Active NPI

Billy Xiaoyi Pan, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Beverly Hills, CA
National Provider Identifier
1760828248
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
A132501 Issued in CA
Practice address
416 N Bedford Dr Ste 300
Beverly Hills, CA 90210-4309
Phone
(310) 273-2333
NPI assigned
May 10, 2013
Last updated
May 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X A132501 CA Primary

Addresses

Primary practice location

416 N Bedford Dr Ste 300
Beverly Hills, CA 90210-4309

Mailing address

416 N Bedford Dr Ste 300
Beverly Hills, CA 90210-4309
Phone (310) 273-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002002926 CA Practitioner - Ophthalmology 6204107634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Hills Institute of OphthalmologyGroup PAC ID 2466699129, 4 clinicians

Practice addresses (Care Compare)

416 N Bedford Dr
Suite 300
Beverly Hills, CA 90210-4309
Phone (310) 273-2333

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A132501CAMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vision Care a California General Partnership Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Coachella Valley Eye Institute PC Ophthalmology CurrentSince Feb 1, 2026 Accepting new patients
Beverly Hills Institute of Ophthalmology Ophthalmology CurrentSince Sep 3, 2019 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Massachusetts Eye and Ear Infirmary Past Accepting new patients

Locations

416 N Bedford Dr
Ste 300
Beverly Hills, CA 90210
Phone (310) 271-7000

2080 Century Park E
Ste 911
Los Angeles, CA 90067
Phone (310) 229-1220

72780 Country Club Dr
Ste 104
Rancho Mirage, CA 92270
Phone (510) 647-6567

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1760828248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104309",
            "telephone_number": "310-273-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR STE 300",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104309",
            "telephone_number": "310-273-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "BILLY",
        "middle_name": "XIAOYI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "CA",
            "license": "A132501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.